Evidence map›Paper›PMID 32967682›Full record

ReviewBMC health services research2020

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.

Breanna Wright, Alyse Lennox, Mark L Graber, Peter Bragge

Open access · goldAbstract readReview
In one paragraph

Review in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
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  9. An Evolution of Reporting: Identifying the Missing Link.Diagnostics (Basel, Switzerland) · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Breanna WrightBehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Clayton Campus, 8 Scenic Boulevard, Clayton, VIC, 3800, Australia. Breanna.Wright@monash.edu.ORCID http://orcid.org/0000-0003-3630-7357
Alyse LennoxBehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Clayton Campus, 8 Scenic Boulevard, Clayton, VIC, 3800, Australia.
Mark L GraberSociety to Improve Diagnosis in Medicine (SIDM), New York, NY, USA.
Peter BraggeBehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Clayton Campus, 8 Scenic Boulevard, Clayton, VIC, 3800, Australia.
Monash University · AUJapan Society · USSustainable Development Institute · US

Funding

Victorian Managed Insurance Authority VMIA-MIRI 2016
6 · The paper itself

Abstract

backgroundCommunication failures involving test results contribute to issues of patient harm and sentinel events. This article aims to synthesise review evidence, practice insights and patient perspectives addressing problems encountered in the communication of diagnostic test results.

methodsThe rapid review identified ten systematic reviews and four narrative reviews. Five practitioner interviews identified insights into interventions and implementation, and a citizen panel with 15 participants explored the patient viewpoint.

resultsThe rapid review provided support for the role of technology to ensure effective communication; behavioural interventions such as audit and feedback could be effective in changing clinician behaviour; and point-of-care tests (bedside testing) eliminate the communication breakdown problem altogether. The practice interviews highlighted transparency, and clarifying the lines of responsibility as central to improving test result communication. Enabling better information sharing, implementing adequate planning and utilising technology were also identified in the practice interviews as viable strategies to improve test result communication. The citizen panel highlighted technology as critical to improving communication of test results to both health professionals and patients. Patients also highlighted the importance of having different ways of accessing test results, which is particularly pertinent when ensuring suitability for vulnerable populations.

conclusionsThis paper draws together multiple perspectives on the problem of failures in diagnostic test results communication to inform appropriate interventions. Across the three studies, technology was identified as the most feasible option for closing the loop on test result communication. However, the importance of clear, consistent communication and more streamlined processes were also key elements that emerged. REVIEW REGISTRATION: The protocol for the rapid review was registered with PROSPERO CRD42018093316 .

Indexed as

CommunicationDiagnostic Tests, RoutineProfessional-Patient RelationsHealth PersonnelHumansPatientsSystematic Reviews as TopicCommunicationDiagnostic errorPathologyPatient safetyRadiologyTest results

Identifiers

PMID32967682
PMCPMC7510293
OpenAlexW3089000354

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.